Sociology
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Item Reviving healthcare delivery: context-based issues for revamping primary healthcare in Nigeria(2019) Owumi, B. E.; Taiwo, P. A.; Kolo, V. R.The relationship between health and sustainable development have long been established. Hence the need to rigorously pursue strategies to improve the health status of a nation’s citizenry through functionally effective and efficient delivery systems. However, health and healthcare delivery is a major problem confronting developing nations like Nigeria. In August 1987, Primary healthcare (PHC) was adopted as the cornerstone of health care and health policy in Nigeria. About three decades after, studies have shown that health and healthcare in Nigeria have not significantly improved; and the delivery of health services have become a perennial problem, defying the various solutions that had been advanced to solving it over time. In the face of dwindling economic reality in Nigeria, reviving primary healthcare becomes a viable alternative that will not only produce healthy and productive citizens, thereby generating national wealth; but will also reduce the cost of health care delivery to the average Nigerian. This paper presents a theoretical diagnosis of the state of affairs of healthcare delivery in Nigeria focusing on PHC as the hub of health policy. It examines the problems of PHC, identifying gaps within it that militates against successful implementation and outcomes. The paper concluded that certain deficits in the scope and policy process of PHC in Nigeria accounted for the programme’s incapacitation. It however recommended a thorough situation analysis as a prelude to a bottom-up policy approach, inclusion of the informal health sub-sector especially the traditional health care practitioners as a viable as well as cost effective strategy for the revamping of primary health care in Nigeria.Item Policies and practices of child adoption in Nigeria: a review paper(MCSER Publishing, Rome-Italy, 2015) Ojelabi, O. A.; Osamor, P. E.; Owumi, B. E.Child adoption, which could be a socially-responsive gesture or a solution for infertility, is gradually becoming culturally acceptable in Nigeria. This paper focuses on analyzing policies and practices of child adoption in Nigeria. It examines policies regulating adoption practices and explores knowledge and attitude towards child adoption, as well as socio-cultural issues in child adoption practices across Nigeria. Secondary data mainly policy documents, existing studies and reviews from scholars, local and international organizations were explored. Nigeria has a National Child Right Act enacted in 2003 that seeks to regulate the welfare of children including child adoption practices. Despite this legislation, most Nigerians are only aware of the term “child adoption” barely few understand the concept of child adoption and the policy regulating it. More so, a large number of infertile couples are familiar with the term “child adoption”, but various social and cultural factors and misconceptions associated with adoption have impaired its full acceptability as a management option for infertility. Adequate support by social welfare system, non-government organizations and health practitioners involved in infertility management will ease pre-existing fears and socio-cultural misconceptions and allow for improved child adoption practices.